Member Plans

Alameda Alliance for Health is a public, not-for-profit managed care health plan committed to making high quality health care services accessible and affordable to lower-income people of Alameda County. Established in January 1996, the Alliance was created by and for Alameda County residents. The Alliance currently provides health care coverage to over 250,000 children and adults through their programs: Medi-Cal and Alliance Group Care.

CalOptima is a county organized health system that administers health insurance programs for nearly 800,000 low-income families, children, seniors and people with disabilities in Orange County. CalOptima was created in 1993 by the Orange County Board of Supervisors to ensure the delivery of quality health care services to local residents.

CalViva Health is a managed care health plan operated by the Fresno-Kings-Madera Regional Health Authority (a governmental entity) for the tri-county service area. CalViva Health is dedicated to improving access to care and providing quality health care to families in the Fresno, Kings, and Madera County area with a current enrollment of over 355,000 Medi-Cal beneficiaries. The plan is governed by a Board of Commissioners representing county government, health care providers, and at-large members of the communities.

CenCal Health administers Medi-Cal (California’s version of Medicaid), which is a publicly-funded health care program for the low income residents of Santa Barbara and San Luis Obispo counties. CenCal Health is a public entity that is governed by a 13 member Board of Directors appointed by the Santa Barbara and San Luis Obispo county boards of supervisors. Our Board of Directors is composed of local government representatives, physicians, hospital representatives, member representatives, other health care provider representatives, and business representatives.

The Alliance is an award-winning regional non-profit health plan, established in 1996, with over 18 years of successful operation. Using the State’s County Organized Health System (COHS) model, we currently serve over 300,000 members in Santa Cruz, Monterey and Merced counties. We work in partnership with our contracted providers to promote prevention, early detection and effective treatment, and improve access to quality health care for lower income residents.

Community Health Group serves over 206,000 members and is dedicated to providing exceptional customer service to the Medi-Cal, Cal MediConnect, and Medicare Special Needs Plan members in San Diego County. Community Health Group has achieved NCQA accrediation for Medi-Cal and participates in several state quality initiatives.

Contra Costa Health Plan (CCHP) was the first federally qualified, state licensed, county sponsored HMO in the United States. CCHP has been serving the health needs of people in Contra Costa County for over 40 years, and now serves over 180,000 people.

Gold Coast Health Plan delivers health care services in Ventura County with a member-first focus that reflects a commitment to our members and our providers. We understand the necessity of having a local presence in the cities we serve, and we are committed to establishing and strengthening relationships in those communities.

Founded in 1987 by the San Mateo Health Commission, the Health Plan of San Mateo (HPSM) is a local non-profit health care plan that offers health coverage and a provider network to San Mateo County’s underserved population. HPSM currently serves more than 100,000 county residents through six health programs: Medi-Cal, San Mateo ACE (Access and Care for Everyone), HealthWorx, Healthy Kids, and CareAdvantage — a Medicare Advantage plan.

Organized as a Joint Powers Agency, Inland Empire Health Plan (IEHP) is a local, not-for-profit, public health plan. We serve almost 1.25 million residents of Riverside and San Bernardino counties through government-sponsored programs including Medi-Cal (families, adults, seniors and people with disabilities) and Cal MediConnect.

Kern Health Systems (KHS), the Local Initiative for Medi-Cal Managed Care, is the largest health plan in Kern County. Through our Kern Family Health Care product, KHS began providing medical care to our members in July of 1996. KHS is committed to our mission of improving the health of our members with an emphasis on prevention and access to quality healthcare. KHS strives to be a leader in developing innovative partnerships with the safety net and community providers to elevate the health status of all community members.

Partnership HealthPlan is a county organized health system that provides cost effective health care delivery to over 500,000 low-income recipients through Medi-Cal, Healthy kids, and PartnershipAdvantage. The HealthPlan’s goals are to improve access, quality and cost effectiveness, through a managed care system and operate with a $2.3 billion annual budget.

San Francisco Health Plan (SFHP) is a licensed community health plan providing affordable health coverage to over 100,000 low- and moderate-income San Franciscans. SFHP was designed for and by the residents it serves – many of whom would not be able to otherwise obtain health care for themselves or their families. Through SFHP, members have access to a full spectrum of medical services including preventive care, hospitalization, prescription drugs, family planning, and substance abuse programs.